KIMBERLY JORGUSON M.ED NPI 1295750248

NPI Information

NPI: 1295750248
Provider Name: KIMBERLY JORGUSON, M.ED
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2625 WHEATON WAY STE B
BREMERTON, WA
ZIP 98310
Phone: (360) 792-2020
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Kimberly Jorguson, M.ED is a mental health counselor in Bremerton, WA. Kimberly Jorguson, M.ED NPI is 1295750248. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2625 WHEATON WAY STE B
BREMERTON, WA
ZIP 98310-372
Phone: (360) 792-2020
Fax: (253) 840-6340

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	CG61111490	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4472JO	OTHER	WASHINGTON	REGENCE BLUE SHIELD
2	8933044	OTHER	WASHINGTON	CRIME VICTIMS
3	164303	OTHER	WASHINGTON	DEPT OF LABOR & INDUSTRIE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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